Does muscle repair automatically comes with TT or does it have to be requested with the TT?

Hello and thank you for your question.To be honest, a fully trained plastic surgeon would be able to determine whether or not you need plication of your rectus (abdominal) muscles. There is never a cookie cutter answer to plastic surgery. Every single patient is unique and deserves a tailored plan and approach to their surgery.Therefore, I would say that 90% of my patients get a plication of the rectus muscles, but I always make that decision during the operation once I can clearly see the degree of muscle separation intra-operatively.Find yourself a fully trained plastic surgeon and all should be well.All the best!Dr. Zuriarrain, Plastic Surgeon

There are 3 general parts of a tummy tuck (abdominoplasty): removal of extra, stretchy skin, removal of extra fat to trim the belly wall, and tightening of abdominal muscles (usually the rectus muscles).  Whether all 3 of these maneuvers needs to be done in order to give the patient the smoothest, trimmest, and firmest belly wall, will depend on just what anatomic problems exist prior to surgery. This will be determined by a careful examination by an experienced plastic surgeon.  Many patients do not have any muscle stretching or looseness, and so muscle tightening does not have to be done.  On the other hand, if muscle looseness or separation has contributed to your shape deformity, then you would need muscle tightening to give you the best result.  Be sure to discuss with your surgeon what he/she plans to include and why.

Thank you for your question. Tummy tuck, also know as abdominoplasty, is a procedure to remove excess skin and fat from the lower abdomen and to restore the weakened abdominal wall, giving a firmer and smoother appearance. Some patients may anly need skin excision but tummy tucks usually have muscle tightening. Tummy tuck is a very powerful technique in the right hands, and can have dramatic results if done correctly.  You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

One of the main reasons to perform a tummy tuck is to plicate the rectus fascia, i.e., tighten the muscles for a flat profile.  Some patients do not need this and only have excess skin that needs to be removed but it is a minority.  

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  I always discuss muscle repair with my patients prior to surgery.  It is a very important aspect of a tummy tuck for almost all of my patients.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I would respond to your question regarding "automatic" parts of a surgical procedure by saying that every procedure needs to be customized to the individual. No part of a surgery should be "automatic". Having said that, tummy tuck surgery generally will include some type of muscle tightening component. However, there are cases when muscle tightening is not needed and the emphasis is placed on skin and fat modification. The components of the surgery that you are considering should be discussed by your surgeon during your consultation. If you have specific questions about what will or will not be done, these should be addressed to the surgeon who has had an opportunity to examine you and assess your specific needs.

All types of tummy tucks get rid of loose skin between the belly button and pubic hairline, but a "full Tummy Tuck" will also remove fat tissue and tighten the muscles in the abdomen. 
Generally speaking, the simple term 'tummy tuck' usually refers to a 'full tummy tuck' and yes, those always include repair of the separated rectus abdominis muscle.
Be sure to consult with a board certified plastic surgeon to discuss your goals and specific surgical options.

Hi, thanks for the question.All patients who undergo a TT, we must repair the fascia of the muscles of the abdomen. Maybe at a very low% do not do it. I hope it has been a great help. Thank you.

Muscle repair is not always included in a tummy tuck. When you consult with an experienced and expert board certified plastic surgeon, he/she will evaluate you to determine if you are a candidate for muscle repair and will include it if he/she feels that it is necessary.

Hello.
Thank you for the question and the information provided.

It is very frequent that tummy tuck includes muscle plication ( Muscle Repair) most of the time the muscle need to be repair after pregnancies, it depends on each patient medical history.
I recommend you to make a consultation with a board certified plastic surgeon and discuss the best options for your personal case.

Best Wishes.